CardioVascular and Interventional Radiology

, Volume 37, Issue 1, pp 251–256 | Cite as

Endovascular Treatment of a Symptomatic Thoracoabdominal Aortic Aneurysm by Chimney and Periscope Techniques for Total Visceral and Renal Artery Revascularization

  • Maurizio Cariati
  • Pietro Mingazzini
  • Raffaello Dallatana
  • Umberto G. Rossi
  • Alberto Settembrini
  • Davide Santuari
Case Report


Conventional endovascular therapy of thoracoabdominal aortic aneurysm with involving visceral and renal arteries is limited by the absence of a landing zone for the aortic endograft. Solutions have been proposed to overcome the problem of no landing zone; however, most of them are not feasible in urgent and high-risk patients. We describe a case that was successfully treated by total endovascular technique with a two-by-two chimney-and-periscope approach in a patient with acute symptomatic type IV thoracoabdominal aortic aneurysm with supra-anastomotic aneurysm formation involving the renal and visceral arteries and a pseduaneurismatic sac localized in the left ileopsoas muscle.

Key words

Arterial intervention Endovascular aneurysm repair Endovascular treatment Graft Thoracic endovascular aortic repair (TEVAR) Abdominal aortic aneurysms (AAA) 


Conflicts of interest

The authors have no conflicts of interest.


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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013

Authors and Affiliations

  • Maurizio Cariati
    • 1
  • Pietro Mingazzini
    • 2
  • Raffaello Dallatana
    • 2
  • Umberto G. Rossi
    • 1
  • Alberto Settembrini
    • 3
  • Davide Santuari
    • 2
  1. 1.Department of Diagnostic SciencesSan Carlo Borromeo HospitalMilanItaly
  2. 2.Department of Vascular SurgerySan Carlo Borromeo HospitalMilanItaly
  3. 3.Università degli Studi di MilanoSan Carlo Borromeo HospitalMilanItaly

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